Registration
Camp JDM is our ALL DAY dance camp for ages 4+ where they will dance multiple genres of dance and we will engage your dancer in creative fun!!! Depending on which week of CAMP JDM your child attends they will also get ot be a part of our themed camps listed below! AGES 4+ | ALL DAY FUN! JUNE 10-14 / 17-21 | JULY 15-19 / 22-26 9AM-4PM EARLYBIRD PRICE: $420 Before MAY 15th After May 15th PRICE: $472
Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Type*
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info (Not Contact #1 or #2)
 
 
Students entered below will be added to your family's account
 
Additional Information:
 
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*
 
 
eCheck/Bank Draft:
Bank Name:
Bank Routing Number: (9-digit number)
Your Account Name: (Your name on your bank statement)
Your Account Type:   Account Number: